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1037772

registered interest
date	08/01/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Learning Disabilities Mortality Review Programme
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the Learning Disabilities Mortality Review report published by the University of Bristol, whether his Department is taking steps to address the recommendations of that report.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	206447
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>The Government’s response to the Learning Disabilities Mortality Review Programme (LeDeR) report, published on 12 September 2018, identifies actions for the Department, as well as NHS England and other partners, to address the national recommendations in the LeDeR report.</p><p> </p><p>The Department and its partners continue to make progress towards implementing these actions, to improve support for people with learning disabilities across the health and care system, reduce health inequalities and improve health and wellbeing outcomes.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/01/2019 12:20:39 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1037778

registered interest
date	08/01/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Air Pollution
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 15 October 2018 to Question 174612 on Air Pollution, what plans his Department has to further study the effects of PM0.1 and PM1 particles on human health.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	206215
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>Recent assessments have been undertaken of the health effects of long-term exposure to the air pollution mixture in the United Kingdom, but no separate assessments of the impact of the PM1 and PM0.1 components (particulate matter with an aerodynamic diameter smaller than 1 or 0.1 microns, respectively) of particulate air pollution have been produced.</p><p> </p><p>The reviews by the Health Effects Institute and the World Health Organization about the effects of different components of air pollution, including ultrafine particles (PM0.1), concluded that there is currently limited evidence on the effects on health of ultrafine particles. These reviews are available at the following link:</p><p> </p><p><a href="https://www.healtheffects.org/publication/understanding-health-effects-ambient-ultrafine-particles" target="_blank">https://www.healtheffects.org/publication/understanding-health-effects-ambient-ultrafine-particles</a></p><p> </p><p><a href="http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1" target="_blank">http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1</a></p><p> </p><p>Currently, Public Health England has no plans to engage in work on the effects of PM1 and PM0.1 particles on human health over the coming year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/01/2019 12:30:56 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1037779

registered interest
date	08/01/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Public Health: Fuel Poverty
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the effects of fuel poverty on public health.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	206216
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>The causes of excess winter death and illness are complex and interlinked, and include circulating diseases such as influenza, cold temperatures and wider determinants of health, such as poor housing and fuel poverty. It is difficult to attribute the relative impacts of each of these factors as the contribution varies year on year.</p><p> </p><p>Living in a cold home and being in fuel poverty represent a significant risk to health, wellbeing and inequalities. The joint Public Health England and University College London Institute of Health Equity report ‘Local action on health inequalities: Fuel poverty and cold home-related health problems’ reported that an estimated 21.5% of annual excess winter deaths are attributable to the coldest quarter of housing. The report is available to view at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/355790/Briefing7_Fuel_poverty_health_inequalities.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/355790/Briefing7_Fuel_poverty_health_inequalities.pdf</a></p><p> </p><p>The Public Health Outcomes Framework (PHOF) includes an Excess Winter Deaths Index and a Fuel Poverty indicator, available to view at the following link:</p><p> </p><p><a href="https://fingertips.phe.org.uk/search/fuel%20poverty#page/3/gid/1/pat/6/par/E12000007/ati/102/are/E09000022/iid/90356/age/1/sex/4" target="_blank">https://fingertips.phe.org.uk/search/fuel%20poverty#page/3/gid/1/pat/6/par/E12000007/ati/102/are/E09000022/iid/90356/age/1/sex/4</a></p><p> </p><p>Local government use PHOF to assess the scale of the problem locally and are supported to take action through both the Cold Weather Plan for England and the National Institute for Health and Care Excellence Guidelines.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/01/2019 12:28:53 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1037780

registered interest
date	08/01/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Housing: Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the effect of home energy efficiency interventions on human health.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	206217
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>The Department for Business, Energy and Industrial Strategy (BEIS) is leading a project looking at the health impacts of living in cold homes.</p><p> </p><p>BEIS is working in collaboration with the Department for Work and Pensions, Public Health England and NHS Digital to understand and quantify the cost to the health service arising from households that underheat their homes requiring more hospital care, compared to similar households who heat their homes adequately. The study will also consider the impact of households who subsequently make energy efficiency improvements and whether this leads to a reduction in hospital care required.</p><p> </p><p>The study is set to conclude later in the year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/01/2019 12:27:12 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1037781

registered interest
date	08/01/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Incinerators: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will make an (a) estimate of the levels and (b) assessment of the effects on public health of nitrogen oxides emitted during incineration of municipal waste.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	206218
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>Public Health England (PHE) has reviewed the evidence on the effects of waste incinerators on human health. The PHE publication can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/municipal-waste-incinerator-emissions-to-air-impact-on-health" target="_blank">https://www.gov.uk/government/publications/municipal-waste-incinerator-emissions-to-air-impact-on-health</a></p><p> </p><p>PHE does not have any current plans to estimate the levels and assessment of the effects on public health of nitrogen oxides emitted during incineration of municipal waste. PHE’s position is that well run and regulated modern municipal waste incinerators (MWIs) are not a significant risk to public health. This view is based on detailed assessments of the effects of air pollutants on health and on the fact that modern MWIs make a small contribution to local concentrations of air pollutants.</p><p> </p><p>PHE will review its advice in light of new substantial research on the health effects of incinerators published in peer reviewed journals. To date, PHE is not aware of any evidence that requires a change in its position statement.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/01/2019 12:26:12 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1037785

registered interest
date	08/01/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason his Department held a public consultation for only three weeks on changes to the Human Medicines Regulation 2012 in relation to supply and the UK’s withdrawal from the EU.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	206364
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) ran a four-week public consultation on changes to the Human Medicines Regulations 2012 in preparation for the United Kingdom’s withdrawal from the European Union in the event of a ‘no deal’, from 4 October to 1 November 2018.</p><p> </p><p>Preparations to ensure the UK will be ready for EU exit in all scenarios, including a potential ‘no deal’ outcome, requires contigency legislation to be made before 29 March 2019 to allow for an orderly exit. There was no statutory obligation to consult on these changes, but the MHRA applied the principles of best practice and consulted stakeholders publicly for as long as was feasible. This public consultation followed informal consultation with industry and the third sector on the proposed changes.</p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/01/2019 17:19:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4249 label Biography information for Anne Marie Morris

1037807

registered interest
date	08/01/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Emigration: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans for the first payments to be made under the ex-gratia payment scheme for former child migrants.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Cat Smith
uin	206399
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>On 19 December the Government published its response to the Independent Inquiry into Child Sexual Abuse's (IICSA) Interim Report and its report on Child Migration Programmes. The Government response outlines the Prime Minister’s decision to ensure that former child migrants receive a payment as soon as possible, in recognition of the fundamentally flawed nature of the historic child migration policy. It is our intention that the ex-gratia payment scheme is set up as quickly as possible, and further details will be provided shortly.</p><p> </p><p>We are aware that a number of former child migrants have sadly passed away since the IICSA Child Migration Programmes report was published, so the Government will accept applications in respect of any former child migrant who was alive on 1 March 2018, when the Inquiry’s Child Migration Programmes report was published.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/01/2019 17:23:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4436 label Biography information for Cat Smith

1037808

registered interest
date	08/01/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Skin Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that strategies to (a) tackle and (b) prevent skin cancers are based on the most up to date research.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	206461
answer	answer is ministerial correction date of answer 11/01/2019 answer text <p>The NHS Long Term Plan sets out how the National Health Service plans to improve outcomes against all cancers. The Long Term Plan was developed together with stakeholders across the health and care sector, and is based on the latest evidence.</p><p> </p><p>Public Health England (PHE) is carrying out research to investigate the contribution of ultraviolet light (UV) to skin cancer in a comprehensive way, which aims to minimise the detrimental effects of UV while maximising the potential benefits of UV in vitamin D production and potentially in mitigating high blood pressure. Through public events, PHE informs the public of the risk and potential benefits of sunshine and practical measures to take to prevent skin cancer.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/01/2019 13:08:48 answering member 4067 label Biography information for Steve Brine
tabling member	4667 label Biography information for Mike Amesbury

1037817

registered interest
date	08/01/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Restraint Techniques: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 29 November 2018 to Question 195551 on Restraint Techniques: Children and Young People, if he will provide an update on when his Department plans to publish its response to its consultation on reducing the need for restraint and restrictive intervention.
tabling member constituency	Sheffield Central
tabling member printed	Paul Blomfield
uin	206310
answer	answer is ministerial correction date of answer 11/01/2019 answer text <p>Department of Health and Social Care officials have been working with Department for Education officials to refine the draft guidance following the public consultation. This has included further engagement with key stakeholders.</p><p> </p><p>We aim to publish the guidance in the spring.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/01/2019 11:52:39 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4058 label Biography information for Paul Blomfield

1037844

registered interest
date	08/01/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what consultation his Department has undertaken on proposals for the introduction of Serious Shortage Protocols for medicines.
tabling member constituency	Caerphilly
tabling member printed	Wayne David
uin	206270
answer	answer is ministerial correction date of answer 11/01/2019 answer text <p>The Department engaged with a wide range of stakeholder representative bodies about the proposals and also conducted a written consultation. The Department received 47 responses to its written consultation including from industry, patients’, pharmacists’ and doctors’ representative bodies. The responses to the consultation were broadly supportive.</p><p> </p><p>The Statutory Instrument is expected to be laid shortly and come into force before 29 March. Any serious shortage protocol would be developed with and signed off by clinicians. Only if clinicians deem it appropriate, an alternative quantity, strength, pharmaceutical form or medicine can be dispensed in line with the protocol.</p><p> </p><p>A protocol is only one of the tools that can be used to manage shortages. The Department manages shortages in collaboration with manufacturers and suppliers, the National Health Service and the Medicines and Healthcare products Regulatory Agency and will continue to do so. A protocol would only be introduced in case of a serious shortage, if it would help manage the supply situation and if clinicians think it is appropriate, taking account of the risks to and well-being of patients and after discussion with the manufacturer and/or marketing authorisation holder.</p><p> </p><p>Any serious shortage would be time limited and the protocol itself would indicate the period during which it has effect.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 206271 206272 206273 question first answered 11/01/2019 13:10:58 answering member 4067 label Biography information for Steve Brine
tabling member	1398 label Biography information for Wayne David